The Following Documents are Mandatory:

• Veteran’s DD Form 214 or Report of Separation from active military service.
• A copy of the applicant’s marriage license and Veteran’s death certificate for widows and widowers.
• A copy of a birth certificate of the Veteran’s dependent children and if applicable, a copy of court orders indicating payment of child support.
• Proof of Pennsylvania residency.
• Proof of loss of employment, if applicable, including the applicant’s termination notice from employment and last pay slip.
• Proof of all other benefits such as unemployment compensation, education benefits, disability compensation/pension, social security, other pensions, union benefits, workman’s compensation or insurance benefits.
• Proof of lack of other income, including employment pay and allowances, annual or sick leave, income from rental property, savings, financial assistance provided by family and friends, interest and dividends.
• Proof of expenses (i.e., shelter, clothing, health care, child support, essential furnishings, utilities, transportation, communication, food, laundry and personal care).
• Receipts indicating current mortgage, rent and all utility payments claimed.

Where to Apply:  Contact the County Veterans’ Affairs Director in the county you reside to apply for this program.

Applicants must demonstrate:

• A temporary loss of income, assets or support due to sickness, disability, unemployment, natural or manmade disaster or other cause beyond the control of, and not as a result of misconduct by, the applicant, or,
• A temporary increase in costs or expenses beyond the control of, and not as a result of misconduct by, the applicant resulting in insufficient funds to pay for necessities of living.